DR. PAUL W. F. COUGHLIN MD
NPI 1285650051
Urology in High Point, NC

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
217-218 GATEWOOD AVE, HIGH POINT, NC 27262(336) 878-6511(336) 878-6512 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Paul W. F. Coughlin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL W. F. COUGHLIN MD (NPI 1285650051) is an individual urology provider in High Point, North Carolina, licensed in North Carolina (24748) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1978).

NPPES Registry Identity

NPI1285650051
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PAUL W. F. COUGHLINCredential: MD
Location Address217-218 GATEWOOD AVEHigh Point, NC 27262-4877
Mailing Address624 Quaker Ln, Ste. 207cHigh Point, NC 27262-3832 · (336) 883-2500
Fax(336) 878-6512
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1978
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 4, 2016
NPI 1285650051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NC · 24748
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
217-218 GATEWOOD AVE, High Point, NC 27262

Other Identifiers 7

Other340016587NC · Railroad Medicare
Medicare UPINC83355NC
Medicare PIN205599BNC
Other24721NC · Bcbs
Medicare PIN205599DNC
Medicare PIN205599CNC
Medicaid8924721NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul W. F. Coughlin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234107814
PECOS Enrollment IDI20040921001133
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,850 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
293 services180 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
266 services147 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services155 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
141 services116 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
140 services93 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers23 claims4,050 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers35 claims5,730 services$1.49 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers40 claims5,940 services$5.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
217-218 GATEWOOD AVE
HIGH POINT, NC 27262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Coughlin's NPI number?

The NPI number for Paul Coughlin is 1285650051. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Paul Coughlin located?

Paul Coughlin practices at 217-218 Gatewood Ave, High Point, NC 27262. The listed phone number is (336) 878-6511.

What is Paul Coughlin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Coughlin enrolled in Medicare?

Yes. Paul Coughlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Coughlin accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Paul Coughlin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Coughlin affiliated with any hospitals?

According to CMS data, Paul Coughlin is affiliated with High Point Regional Health System and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Paul Coughlin was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.